My dad was diagnosed with bladder cancer when he kept noticing blood in his urine. He decided at that time NOT to have radiation or chemo. He isn't on any meds either. But, one thing is this - he is having surgery right this moment to "ream him out." That's what mom called it. What is that? This will be his second "reaming out" in 2 months. But, what does that accomplish? The other "reaming out" took care of some of the blood in his urine, but he still had a little. How many time is he going to have to go through this? I just wonder. ANyway, my dad had rather be in his easy chair in the den watching his big screen TV than having to put up with this stuff. (as most people would) So sad.
I would assume that the procedure that your father had was a "TURB." This is a "transurethral resection of the bladder" or medical speak for a procedure where, under general anesthesia, the urologist carefully examines the bladder using a small camera. He/she then removes any visible tumor (what your mom called "reaming out") and sends it to a pathology lab for analysis.
The pathologist examines the removed tissue and determines a. whether it is indeed cancerous b. what kind it is
c. how far it has advanced (into the bladder lining? into the muscle? has not advanced at all and d. what grade it is
( is it low grade...very slowly growing or is is high grade...rapidly growing with the potential for spreading. Often a urologist will repeat the procedure a few months later to be sure that all the tumor was removed and that the diagnosis was accurate.
IF I am reading what you said correctly it would appear that your father has a low grade bladder cancer that, at first glance, appears NOT to have spread. The second TURB should confirm that diagnosis. IF that is the correct diagnosis the treatment plan would probably just consist of visual exams by the urologist (called "cystoscopy") every three months to be sure that nothing has changed.
Please note that we are not doctors here and I am just sort of guessing from what you said in your post that this is the situation.
Hope this helps
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society